Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44727 | CO |
N | 111NI0900X | Internist | 44727 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | 44727 | CO |
NPI | 1295773133 |
---|---|
Provider Name | Dr. Miles P Corkern |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80247-1314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 13/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018078 | KAISER-COMMERCIAL NUMBER (01) | CO |
51207877 | (05) | CO |
I60109 | (02) | CO |